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In the Diabetes Prevention Program Outcomes Study, researchers from the diabetes prevention program research group asked people with prediabetes to lose weight by reducing calories, which they achieved by eliminating refined carbohydrates and fat, and including 150 minutes of physical activity per week (8)

Keep your healthcare provider informed of your appetite changes, weight loss rate, and any signs of hypoglycemia, as your metformin dose may eventually need reduction if you lose significant weight and your insulin sensitivity improves

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